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General NPI Number Information
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NPI Number | 1518048073
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Entity Type | Individual
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Provider Name | ANNETTE L HARTBOWER M.A., MFT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2330 GLENDALE LN STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95825-2454
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Country | US
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Telephone | 916-531-2798
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Fax | 916-641-9599
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Provider Business Mailing Address
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Address Line | 6109 VIA CASITAS
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City | CARMICHAEL
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State | CA
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Zip | 95608-0202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC39426
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License Number State | CA
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